Individual provider Active NPI

Maryanne Briones, DMD

  • Dentist
  • Tucson, AZ
National Provider Identifier
1942852579
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D010438 Issued in AZ
Practice address
1500 W Commerce CT BLDG 3
Tucson, AZ 85746-6076
Phone
(520) 670-3909
Fax
(520) 309-2560
NPI assigned
Jul 13, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D010438 AZ Primary

Addresses

Primary practice location

1500 W Commerce CT BLDG 3
Tucson, AZ 85746-6076

Mailing address

839 W Congress St
Tucson, AZ 85745-2819
Phone (520) 670-3909

Other practice location 1

251 West White
Nogales, AZ 85621
Phone (520) 761-2133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240909001664 AZ Practitioner - Dentist 0345570339

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D010438AZMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Mariposa Community Health Center, Inc Current Accepting new patients
Mariposa Community Health Center, Inc CurrentSince Sep 1, 2024 Accepting new patients
Mariposa Community Health Center, Inc CurrentSince Sep 1, 2024 Accepting new patients
Mariposa Community Health Center, Inc Current Accepting new patients
Tangerine Dental Group, LLP General Practice PastSince Jul 25, 2019 Accepting new patients

Locations

825 N Grand Ave
Ste 100
Nogales, AZ 85621
Phone (520) 761-2128

1852 N Mastick Way
Nogales, AZ 85621

1103 Circulo Mercado
Rio Rico, AZ 85648
Phone 5202811550 ext. 1180

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1562976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1942852579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 W CONGRESS ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452819",
            "telephone_number": "520-670-3909",
            "fax_number": "520-309-2560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 W COMMERCE CT BLDG 3",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857466076",
            "telephone_number": "520-670-3909",
            "fax_number": "520-309-2560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "251 West White",
            "address_purpose": "LOCATION",
            "city": "Nogales",
            "state": "AZ",
            "postal_code": "85621",
            "country_code": "US",
            "telephone_number": "520-761-2133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRIONES",
        "first_name": "MARYANNE",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-13",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D010438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.